Author Question: The nurse is instructing the client in stomal care for an incontinent ostomy. The client's use of ... (Read 98 times)

meagbuch · **on:** Jul 22, 2018

The nurse is instructing the client in stomal care for an incontinent ostomy. The client's use of which of the following products demonstrates achievement of learning goals to the nurse?

a. Triamcinolone acetamide (Kenalog) spray for a yeast infection
b. Peroxide to toughen the peristomal skin
c. A commercial deodorant around the stoma
d. Alcohol to cleanse the stoma

Question 2

Which of the following elements is key to the framework for practice in Martha Roger's theory?

a. Human becoming
b. Manipulation of the client's environment
c. Seven categories of behaviour and behavioural balance
d. Focus upon the life process of a human being along a time-space continuum

chem1s3 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
If a yeast infection occurs, thorough cleansing should be performed, followed by patting the area dry and applying a prescribed topical agent, such as triamcinolone acetonide (Kenalog) spray or nystatin (Mycostatin), to the affected region.
The peristomal skin should be cleansed gently with warm tap water by using gauze pads or a clean washcloth.
An ostomy deodorant may be placed into the pouch, not around the stoma.
Alcohol should not be used to clean the stoma. The area may be cleaned with warm tap water.

Answer to Question 2

D
The framework for practice, according to Martha Roger's theory, is presenting the client of nursing not simply as a person, but as an energy field in constant interaction with the environ-ment, which itself was also an irreducible energy field, coextensive with the universe. Nursing's role was to focus upon the life process of a human being along a time-space continuum.
Rosemarie Parse's theory of human becoming (1997) viewed the individual as a unitary being who is indivisible, unpredictable, and ever-changing and a freely choosing being who can be recognized through paradoxical patterns co-created all-at-once in mutual process with the uni-verse.
Nightingale's theory includes manipulation of the client's environment (i.e., appropriate noise, nutrition, hygiene, light, comfort, socialization, and hope) in the framework for practice.
Johnson's theory includes seven categories of behaviour and behavioural balance in the frame-work for practice.